The effect of herbal medicine Toki-shakuyaku-san on blood pressure in an Nomega-nitro-L-arginine methyl ester-induced pre-eclampsia rat model during pregnancy and the postpartum period

J Pharmacol Sci. 2005 Jul;98(3):255-62. doi: 10.1254/jphs.fpj04043x. Epub 2005 Jul 2.

Abstract

The chronic inhibition of nitric oxide (NO) synthesis with N(omega)-nitro-L-arginine methyl ester (L-NAME) in pregnant rats induces a pre-eclampsia-like syndrome, including hypertension. We have previously reported the beneficial effects of Toki-shakuyaku-san (TS) in this model. In the present study we demonstrated the anti-hypertensive effect of TS in pre-eclampsia produced by prolonged L-NAME-infusion during the postpartum period. Analysis of blood sex steroids suggested that the level of progesterone differs between the TS-effective (gestational day 19 and postpartum day 7) and TS-ineffective (postpartum day 1) periods. Co-administration of TS and progesterone inhibited L-NAME-induced hypertension on postpartum day 1. Furthermore, the anti-hypertensive effect of TS on postpartum day 6 disappeared in the presence of a co-administered progesterone antagonist mifepristone. These data suggest that a certain level of progesterone may be an indispensable prerequisite for an anti-hypertensive effect of TS. Finally, the effects of TS are apparently unrelated to blood levels of NO, calcitonin gene-related peptide, and endothelin-1, which have been reported to modulate systolic blood pressure in the L-NAME-induced pre-eclampsia model. Thus, the use of TS may provide a new therapeutic strategy for pre-eclampsia, although elucidation of the mechanism of action of TS would be necessary to optimize treatment protocols.

MeSH terms

  • Animals
  • Blood Pressure / drug effects*
  • Calcitonin Gene-Related Peptide / blood
  • Disease Models, Animal
  • Drugs, Chinese Herbal / pharmacology*
  • Drugs, Chinese Herbal / therapeutic use
  • Estradiol / blood
  • Female
  • Male
  • Mifepristone / pharmacology
  • NG-Nitroarginine Methyl Ester / pharmacology*
  • Nitric Oxide / blood
  • Pre-Eclampsia / drug therapy*
  • Pre-Eclampsia / physiopathology
  • Pregnancy
  • Progesterone / blood
  • Progesterone / pharmacology
  • Rats
  • Rats, Sprague-Dawley

Substances

  • Drugs, Chinese Herbal
  • toki-shakuyaku-san
  • Nitric Oxide
  • Mifepristone
  • Progesterone
  • Estradiol
  • Calcitonin Gene-Related Peptide
  • NG-Nitroarginine Methyl Ester